Litchfield Physical Medicine, Ltd

NPI 1275703712 - Chiropractor - 111N00000X

NPI Details
NPI 1275703712
Enumeration Date 03/11/2008
Last Updated 02/08/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BRADLEY C BRADLEY
Position CLINIC DIRECTOR
Phone (618) 465-8200
Fax (618) 465-8184
Practice Location
3464 E BROADWAY
ALTON IL, 62002-2043, US
Phone (618) 465-8200
Fax (618) 465-8184
Business Location
3464 E BROADWAY
ALTON IL, 62002-2043, US
Phone (618) 465-8200
Fax (618) 465-8184
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038009755
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According to our database, Litchfield Physical Medicine, Ltd NPI is 1275703712, taxonomy code is 111N00000X and license number is 038009755, license state is located at Illinois. Litchfield Physical Medicine, Ltd physically located at 3464 E Broadway, Alton IL, 62002-2043. NPI Number 1033115704 has the healthcare provider type.

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1275703712 NPI number is provided on an as is basis without warranty of any kind. 1275703712 is maintained by the National Plan & Provider Enumeration System. The contents of Litchfield Physical Medicine, Ltd are for informational purposes only.